Individual provider Active NPI

Kathrine Renee Manolopoulos, OTR/L, CHT

  • Hand Occupational Therapist
  • Seattle, WA
National Provider Identifier
1477901205
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT60649721 Issued in WA
Practice address
908 Jefferson St FL 6
Seattle, WA 98104-2433
Phone
(206) 520-5000
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60649721 WA
Hand Occupational Therapist 225XH1200X OT60649721 WA Primary

Addresses

Primary practice location

908 Jefferson St FL 6
Seattle, WA 98104-2433

Mailing address

1427 116TH Ave NE
Bellevue, WA 98004-3807
Phone (425) 462-9800

Other practice location 1

3101 Northup Way Ste 301
Bellevue, WA 98004-1449
Phone (425) 462-5006

Other practice location 2

325 9th Ave
Seattle, WA 98104-2420
Phone (206) 520-5000

Other practice location 3

1427 116th Ave NE
Bellevue, WA 98004-3807
Phone (425) 462-9800

Other identifiers 1

IdentifierTypeStateIssuer
2208191MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katiem5@uw.edu Direct Harborview Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001554 WA Practitioner - Occupational Therapist in Private Practice 1153602552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT60649721WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc., P.S. Occupational Therapist CurrentSince May 11, 2022 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons Inc P S CurrentSince May 11, 2022 Accepting new patients
Overlake Internal Medicine Laboratory PastSince Jul 25, 2019 Accepting new patients

Locations

1231 116th Ave NE
Ste 535
Bellevue, WA 98004
Phone (425) 668-1916

3101 Northup Way
Ste 301
Bellevue, WA 98004
Phone (425) 462-5006

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1477901205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043807",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 JEFFERSON ST FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042433",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Northup Way Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041449",
            "country_code": "US",
            "telephone_number": "425-462-5006",
            "fax_number": "425-462-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042420",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1427 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043807",
            "country_code": "US",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOLOPOULOS",
        "first_name": "KATHRINE",
        "middle_name": "RENEE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60649721",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT60649721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208191",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katiem5@uw.edu",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Harborview Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 9th Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.